Organization
ST. OLAF RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MEYER (ADMINISTRATOR)
(612) 287-3538
Entity
Organization
Contact information
Practice address
2912 FREMONT AVE N, MINNEAPOLIS, MN 55411-1313
(612) 522-6561
(612) 522-2921
Mailing address
2912 FREMONT AVE N, MINNEAPOLIS, MN 55411-1313
(612) 522-6561
(612) 522-2921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
00260
MN
Other
Enumeration date
06/21/2005
Last updated
08/22/2020
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